Hospitalizações por condições cardiovasculares sensíveis à atenção primária em municípios goianos
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Data
2012
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Resumo
OBJECTIVE: To analyze rates of hospitalization due to primary care-sensitive
cardiovascular conditions.
METHODS: This ecological study on 237 municipalities in the state of
Goiás, Central-West Brazil, between 2000 and 2008, used data from the
Hospital Information System and the Primary Care Information System.
The hospitalization rates were calculated as the ratio between the number of
hospitalizations due to cardiovascular conditions and the population over the age
of 40 years. The data were evaluated over the three-year periods A (2000-2002),
B (2003-2005) and C (2006-2008), according to sex, age group, population
size, whether the individual belonged to the metropolitan region, healthcare
macroregion, distance from the state capital, living conditions index and coverage
within the Family Health Strategy. The potential population coverage of the
Family Health Strategy was calculated in accordance with Ministry of Health
guidelines. The variability of the rates was evaluated using the t test and ANOVA.
RESULTS: A total of 253,254 hospitalizations (17.2%) occurred due to primary
care-sensitive cardiovascular conditions. The hospitalization rates diminished
between the three-year periods: A (213.5, SD = 104.6), B (199.7, SD = 96.3)
and C (150.2, SD = 76.1), with differences from A to C and from B to C (p <
0.001). Municipal population size did not infl uence the behavior of the rates.
Municipalities near the state capital and those in the metropolitan area presented
higher rates (p < 0.001). At all percentiles of the Life and Health Conditions
Index, there were decreases in the rates (p < 0.001), except at percentile 1.
Decreases were also observed in all the macroregions except for the northeastern
region of the state. The reduction in rates was independent of the Family Health
Strategy coverage.
CONCLUSION: The rates of hospitalization due to primary care-sensitive
cardiovascular conditions decreased in these municipalities, independent of
the Family Health Strategy coverage.
Descrição
Palavras-chave
Doenças cardiovasculares, Prevenção e controle, Hospitalização, Atenção primária à saúde, Avaliação de serviços de saúde, Estudos ecológicos, Cardiovascular Diseases, Prevention and control, Hospitalization, Primary health care, Health services evaluation, Ecological studies
Citação
BATISTA, Sandro Rogério Rodrigues et al. Hospitalizações por condições cardiovasculares sensíveis à atenção primária em municípios goianos. Revista de Saúde Pública, São Paulo, v. 46, n. 1, p. 34-42, 2012.